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 Formulary Chapter 7: Obstetrics, Gynaecology, and urinary-tract disorders - Full Chapter
Notes:

Bladder and Bowel Community Formulary

Overactive Bladder Guidance

Acute Kidney Injury (AKI) Patient Leaflet

 Details...
07.04.05  Expand sub section  Drugs for erectile dysfunction
07.04.05  Expand sub section  Alprostadil
07.04.05  Expand sub section  Phosphodiesterase type 5 inhibitors
Sildenafil
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First Choice
Green

First line in erectile dysfunction (ED) Available to all men on the NHS from Aug 2014 ONLY if prescribed generically.

Sildenafil for Pulmonary Arterial Hypertension NHSE commissioned via specialist centres only, no GP prescribing.

Sildenafil for Raynaud’s phenomenon specialist initiation in line with NHSE algorithm

 
Vardenafil (Levitra)
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Second Choice
Green 2

Cost effective second line alternative to sildenafil (not available at WVT Pharmacy).

Prescribe generically

 
   
Tadalafil (Cialis)
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Third Choice
Green 3

PRN preparation only (10mg / 20mg tablets), third line for those who haven’t responded to either sildenafil or vardenafil

 
Link  NICE TA273: Hyperplasia (benign prostatic) - tadalafil (terminated appraisal)
   
Sildenafil (Revatio)
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Restricted Drug Restricted
Red

Pulmonary hypertension (NHSE commissioned)

 

 
   
07.04.05  Expand sub section  Papaverine and phentolamine
 ....
 Non Formulary Items
Avanafil

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Non Formulary
 
Sildenafil chewable tablets  (Nipatra)

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Non Formulary
 
Tadalafil once daily

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Non Formulary
Red Black

Tadalafil daily preparation (2.5mg / 5mg tablets) is non-formulary and on Herefordshire Low Priority Treatment list 

 
  
Key
note Notes
Section Title Section Title (top level)
Section Title Section Title (sub level)
First Choice Item First Choice item
Non Formulary Item Non Formulary section
Restricted Drug
Restricted Drug
Unlicensed Drug
Unlicensed
Track Changes
Display tracking information
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Link to adult BNF
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Link to children's BNF
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Link to SPCs
SMC
Scottish Medicines Consortium
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHSE
NHS England
Homecare
Homecare
CCG
CCG

Traffic Light Status Information

Status Description

Green

Suitable for use in primary care  

Amber

Specialist initiation. Shared care in place  

Red

Red do not use..  

Advice

Some formulations restricted  

Black

NICE "Do not do"  

Green 1

1st line option  

Green 2

2nd line option  

Green 3

3rd line option only  

Not Recomended / Black

Low Value Medicine not recommended for use - see NHSE guidelines  

OTC

This preparation should be bought over the counter for self-care  

Red Amber

Check product description for traffic light status  

Red Black

Low Value Medicine  

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